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}' :Y FOR NO FURTHER ACTION REQUESTS AT UNDERGROUND TANK SITES <br /> ... ''' <br /> r <br /> Site Name and Location: DGN (Serks�r Foo L� > > o <br /> . ... DS P bti1 t] i.LJA?E2�ao�a <br /> ,qpN lyl - ISO -O-Z- <br /> `.., ' SrackTaN� SAN JclAqujr4 <br /> 1. ±-M Distance to production wells for municipal, domestic, agriculture, industry and other uses within 2000 <br /> feet of the site; CAI-AVen.-3 R,uc+L/n,uenz,yc CR S '1�1. `f/ r'� �cia-S,TL-Suppky t., t t.ki Zs4 <br /> 2. �-5 Site maps, to scale, of area impacted showing locations of farmer and existing tank systems, <br /> excavation contours and sample locations, boring and monitoring well elevation contours, gradients, <br /> and nearby surface waters, buildings, streets, and subsurface utilities; qN R�c�o�eo 19 8 <br /> fsl <br /> 3. Y Figures depicting lithology (cross section), treatment system diagrams; <br /> 4. yts Stockpiled soil remaining on-site or off-site disposal (quantity); 33oy�j_ ro FoRwa+tn MAY 9s <br /> ;6 <br /> 5. `c_5 Monitoring wells remaining on-site, fate; 6rHuiA g b 13 c.s -NTT - <br /> 6. Tabulated results of all groundwater elevations and depths to water, <br /> 7. %FS Tabulated results of all sampling and analyses: <br /> Yrs Detection limits for confirmation sampling <br /> M Lead analyses <br /> 8. yc3 Concentration contours of contaminants found and those remaining in soil and groundwater, both on- <br /> site and off-site: ' <br /> iY4 SLA reriA <br /> y Lateral extent of soil contamination 1 , <br /> Vertical extent of soil contamination t 3� -r-FFI� ®`7a G� <br /> TBti+i no <br /> ,r Bo <br /> 5 <br /> y Lateral extent of groundwater contamination <br /> Vertical extent of9 roundwater contamination <br /> �i <br /> 9. Zone of influence calculated and assumptions used for subsurface remediation system and the zone <br /> of capture attained for the soil and groundwater remediation s stem' <br /> P 9 Y , <br /> 10. _�E5 Reports 1 information i <br /> _*s Unauthorized Release Fo {URF)Na,r{ga <br /> QMRs (Dates) Y/5 S�� 9f9S S 9L 7 9l0 9I9fo r►�9� [`{ gaMa�f»�cu�aTs ��—96 <br /> �Lg77 PAR lo/OK nem 11)92 tj5 j r <br /> i <br /> _ FRP j <br /> VC5 Other(report name) 5,�� C�es..a�12ePdaT (011g4'7 i� <br /> Well and boring logs ask IA=..,wre7 <br /> 11. Best Available Technology (BAT) used or an explanation for not using BAT; ckr_QeWc+-,Ar <br /> {Y i <br /> Cr <br /> 12. /='S Reasons why background"wasps unattainable using BAT; 6 7�o a�o ,� <br /> 13. Yap Mass balance calculation of substance treated versus that remaining; (.30ri3�{ 17-a3 ias T?hQ Rz#"A r4 <br /> t 14. )�p Assumptions, parameters, calculations and model-used in,risk assessments, and fate and transport <br /> modeling; V-t< Mood Rf3actj Y4�I.Q?A�d (t;' 2-s'wk�1Z !� Qna...n�a�e-►L <br /> ii <br /> 15. Rationale why conditions remaining at site will not adversely impact water quality, health, or other <br /> beneficial uses; and 45gNNJNG rr+T1U•.c�►� jSf aRt�e10,ri.�, <br /> 16. WET or TCLP results <br /> Comments: LMW Rj:6k To ca0•.w0,,4-re qua s? �so� 3 Qe0*.,.1r-4 leo AC��roT� <br /> .. �i �I <br /> MODES u�u ��/��� 1 �Nct._AuFRA_�e�,rse� cm,.eew�RPTA <br /> Cori cuYK't:.w <br /> BY= <br /> Date: <br /> 1 <br /> k <br />